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• Step Therapy for Medicare Part B Prescription Drugs

  In some cases, your HMSA Medicare Advantage plan will require Step Therapy. This means you must first try one or more preferred drug alternatives to see if they work before taking a non-preferred drug.

• 2026 HMSA Individual Plan Application Instructions

  Get the application for 2026 HMSA Individual Plan Application here.

• Organization Determination (Request for Prior Authorization)

  Some services and medical care require a coverage decision by HMSA before they can be covered.

• 2026 HMSA Akamai Advantage Dual Care (PPO D-SNP) Application Instructions

  Fill out this form if you've just become eligible for HMSA Akamai Advantage Dual Care or are enrolling during the open enrollment period.

• 2026 HMSA Medicare Advantage Application Instructions

  Fill out this form if you've just become eligible for HMSA Medicare Advantage or are enrolling during the open enrollment period.

• Preparing For Your Newborn

  Are you an expecting mother? Take time during your pregnancy to prepare for your newborn's arrival.

• Insuring Your Family

  Here's what you need to know to get your family on your plan.

• How Do I Determine My Medical Plan Type?

  Do you have your HMSA membership card handy? Find out what kind of medical plan you have by looking at your membership card.

• Breast Feeding Support and Counseling

  Health care reform now includes breastfeeding counseling for new mothers and reimbursement for a breast pump.

• Transparency in Coverage: Machine-readable Files

  This transparency in coverage will tell you how to submit claims, get preauthorization, and see if a prescription drug is covered.

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